Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jackie Dale Nanny, DMD

Individual provider Periodontics · NPI 1518950534

Dr. Jackie Dale Nanny, DMD is a Periodontics in Beaufort, South Carolina. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

188 Nicaragua St
Beaufort, SC 29902-7552
Phone: (843) 228-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DN 8903 (FL)

Record details

NPI number1518950534
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESSeptember 14, 2007

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